Distal Insertional Footprint of the Brachialis Muscle: 3D Morphometric Study.

Objective. The purpose of this study is to describe the three-dimensional morphometry of the brachialis muscle at its distal attachment to the ulna. Methods. Fifty cadaveric elbows were dissected and the brachialis distal insertion was isolated on the ulna bone and probed with a three-dimensional digitizer, to create a three-dimensional model of the footprint. Measurements and analysis of each footprint shape were recorded and compared based on gender and size. Results. There was significant gender difference in the surface length (P= 0.002) and projected length (P= 0.001) of the brachialis footprint. The shapes of the footprint also differed among the specimens. Conclusion. The shape of the brachialis muscle insertion differed among all the specimens without significant variation in gender or sides. There was also a significant difference in muscle length between males and females with little difference in the width and surface area. Significance. The information obtained from this study is important for kinematic understanding and surgical procedures around the elbow joint as well as the understanding of the natural age related anatomy of the brachialis footprint morphology.

The myriad pieces of facility development, Part 3.

Medical practices often find that they have outgrown their office space and cannot relocate within the same building or in the vicinity of their current location. They are confronted with the need to develop and build a new facility. Parts 1 and 2 of this series helped you conceive your new office and get it designed and ready for construction. Now it is time to build.

Myriad pieces of facility development, part 1.

Medical practices often find that they have outgrown their office space and cannot relocate within the same building or in the vicinity of their current location. They are confronted with the need and desire to develop and build a new facility. Part 1 of this article discusses a plausible strategy to this intricate task. The central concept is to use a team approach by calling on specialists to accomplish certain functions. Although this process may seem complex and expensive, it is likely to provide significant value. This value may express itself not only in greater efficiency of the practice as a result of rational planning of the space, but also in the intrinsic worth of the facility as a real estate investment.

Myriad pieces of facility development, Part 2.

The first article in this series discussed the complexity and breadth of deciding what to do when relocating your practice. Assuming you have accomplished those tasks, you now need to undertake the job of actually getting that done. This section takes you from the conceptualization of the project to the actual heavy lifting, and outlines the concrete (literally) steps that must be taken to bring the undertaking to fruition.